Chapter 5: Operating The System - Hologic FLUENT Manuel D'utilisation

After you have primed the Fluent Fluid Management System, you are ready to operate the system.
This chapter provides information and instructions for operating the Fluent Fluid Management System with the MyoSure Hysteroscope and
MyoSure Tissue Removal Device (TRD). For complete instructions on the use and operation of the Hysteroscope and the TRD, including warnings
and cautions, refer to the documentation for those devices.
Adjusting the Intrauterine Pressure
This section describes how to adjust the intrauterine pressure. The pressure can be adjusted from 40 mmHg to 120 mmHg. For diagnostic
hysteroscopes, the pressure range is limited from 40mmHg to 80mmHg.
WARNING!
The uterine cavity distention pressure should be the lowest pressure necessary to distend the uterine cavity and ideally should be maintained
below the mean arterial pressure (MAP).
To adjust the pressure:
1. Touch the 'Change' button in the Pressure circle.
2.
Touch the Down or Up controls to change the Pressure setting.
3. Touch the Accept icon (
WARNING!
If the deficit is rapidly increasing, or the visualization field does not respond to a change in pressure set point, this may indicate that the uterus
has been perforated or that fluid is escaping elsewhere. Examine the visual field for injury or a leak from the cervix.
Adjusting the Deficit Limit
The deficit is the total amount of fluid left in the patient, remaining in Out-FloPak, or unaccounted for otherwise.
About Deficit Limits
• The default Deficit Limit is set to 800 mL
• The Deficit Limit can be adjusted from 100 mL to 2500 mL in increments of 50 mL.
Note:
Deficit reported is the total fluid volume that has left the fluid bags and has not returned to the waste bag. This may include fluid remaining in
Out-FloPak
Perform the following steps to adjust the Deficit Limit as necessary.
1.Touch the 'Change' button in the Deficit Limit circle.
2.Touch the Down or Up controls to change the Deficit Limit or select the setting.
3.Touch the ( ) to confirm.
Starting the Hysteroscopy
Touch 'Run' to start the Hysteroscopy and wait 3 seconds for system to stabilize.
Using the MyoSure Tissue Removal Device (TRD)
After pressing the 'Run' button to start the procedure, the foot pedal can be used to operate the MyoSure Tissue Removal Device. Once the
MyoSure Tissue Removal Device is first operated, the elapsed operating time is displayed on the screen in MIN:SEC format. The MyoSure
Tissue Removal Device cannot be operated when the Fluent Fluid Management System is paused. Refer to the MyoSure Tissue Removal Device
Instructions for Use for more information on how to use the MyoSure Tissue Removal Device.
System Recovery
If at any point during a procedure, (i.e. after a power failure) the System Recovery screen is displayed, touching 'Recover' will recover procedure data,
including deficit data, to resume current procedure. If resuming a current procedure is desired, touching 'Recover' is recommended. Starting a new
procedure will lose all previous procedure data. If a new procedure is started unintentionally, the deficit will need to be calculated manually.
Replacing Items during a Procedure
The Fluent Fluid Management System allows you to replace the following components during a procedure.
• The Fluid Bag
English
Fluent Fluid Management System

Chapter 5: Operating the System

) to confirm.
Chapter 5: Operating the System
25